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Navy and Marine Corps 

Medical News 

A Public Affairs Publication of the U.S. Navy Bureau of Medicine and Surgery 

November 2012 

MEDNEWS Items of Interest 

November marks Military Medi- 
cal Technology month. During this 
month, Navy Medicine highhghts its 
accomphshments in miUtary medical 
technology and how medical technol- 
ogy helps Navy Medicine to meet its 
goals of readiness, value and jointness. 

The new Navy Medicine's conference 

policy can be found at: http://www. 


Open Season for health insurance 
ends Dec. 7. 

Dec. 1 marks World AIDS Day. For 

more information visit: httD://www. 

Find us on Facebook. U.S. Navy Bu- 
reau of Medicine and Surgery, follow 
us on Twitter @ NavyMedicine, read 
our publications on Issuu, check out 
our photos on Flickr, watch our videos 
on YouTube and read our blog on 
Navy Live. 

Did You Know? 

The Modular Prosthetic 
Limb (MPL) is a brain- 
controlled prosthetic, 
which has nearly as much 
dexterity as a natural 
limb, 22 degrees of mo- 
tion, and independent 
movement of fingers. 

USO breaks ground for world- 
class facility In Bethesda. Md. 

By Joe Maori, Naval Support Activity 
Bethesda Public Affairs 

BETHESDA, Md. - The United Services 
Organization (USO) broke ground Nov. 7 
on a brand new facility at Naval Support 
Bethesda dedicated to supporting wound- 
ed troops and their families throughout 
the rehabilitation process. 

The new facility once complete will be 
the largest USO facility in the world and 
in addition to such as computers, TVs 
and place to relax contained in most USO 
facilities, this center will also have several 
components dedicated specifically to 
Warrior care. 

"This is going to be a place of healing 
and fellowship where families can come 
to nurture both their bodies and their 

souls," said Capt. Fritz Kass, NSAB Com- 
manding officer. 

The facility will consist of three zones. 
The first, will focus on "recreation and 
normalcy," and provide many of the 
features military members have come 
to expect from a USO such as a gaming 
area, food and a sports lounge. 

The second zone, call "respite," will 
provide a more quiet area for people 
wanting a more serene environment. 

Finally, the last area will be focused on 
education and work. This area is dedi- 
cated to providing service members and 
their families with the support they need 
to transition back into the civilian work- 
force and assist them in their educational 

See USO, Page 3 

Fliata by Joe Macri 

(Left to Right) Maj. Gen. Michael S. Linnington, commanding general JVIilitary Dis- 
trict Washington, Rep. Chris Van Hollen, Juan |V|. Garcia, III Assistant Secretary of 
the Navy (Manpower & Reserve Affairs), Sloan Gibson, USO President, Edward T. 
Reilly, Co-Chair, Operation Enduring Care, Capt. Fritz Kass, NSAB commanding offi- 
cer. Vice Adm. Matthew Nathan, Navy Surgeon General, Major Gen. Angela Salinas, 
USMC director. Manpower Management Division, Elaine Rogers, USO President, 
Metropolitan Washington and Gen. (ret) Richard B. Myers, USO Board of Directors, 
prepare to break ground on a new USO Warrior and Family Center at Naval Support 
Activity Bethesda, Md. 

Surgeon General's Corner 

Navy Medicine liiglilights 
military medical technology 

After a decade of war, we have seen 
military medical technology ad- 
vance by leaps and bounds. I am always 
impressed with the progress we have 
made in the realms of cHnical informat- 
ics, prosthetics, and modeling and simu- 
lation. It is truly remarkable how far we 
have come. We are performing at a level 
that is unprecedented. 

This month we celebrate the innova- 
tive advancements in military medical 
technology. As our beneficiaries and 
populations we serve continue to grow, 
so does our drive to be on the forefront 
of innovation and make sure we are 
setting the bar for patient and family 
centered care. 

We are affected by technology every 
single day. From satellite communications 
to apps on our mobile devices, it is clear 
that we are living in the age of technology. 
Nowhere have more advancements for 
us been made in patient and family- cen- 
tered care than in our medical treatment 

As we move forward to meet our goals 
of readiness, value and jointness, we will 
optimize the use of clinical informatics, 
technology and telemedicine. Clini- 
cal Informatics is the provider- driven 
integration of information technology 
and clinical expertise in pursuit of more 

Navy and Marine Corps 

Medical News 

U.S. Navy Bureau of Medicine and Surgery 

IjCi ce Adm. Matthew L. Nathan 

U.S. Navy Surgeon General 

Capt. Dora Lockwood 

Public Affairs Officer 

Shoni PiUp-Florea 

Deputy Public Affairs Officer 

Valerie A. Kremer | 

lEDNEWS Managing Editor 

U.S. Navy Bureau of Medicine and Surgery 
^700 Arlington Blvd. Ste. 5122 

i^alls Church, Va. 22042-5 122 j 
1 Public Affairs Office , 

efficient and enhanced patient care. 

Working side by side, our clinicians 
and information technology profession- 
als are creating the common language 
that is essential for successfully exchang- 
ing health information. Increasing use 
of health information technology and 
the need for Navy Medicine to adopt an 
integrated health record is a key priority. 
As of 2011, the Department of Defenses 
inpatient clinical online documenta- 
tion system, also known as the Essen- 
tris' EMRT inpatient electronic medical 
record, has now been deployed in all 
59 MTFs (19 Navy) across the military 
health system and continues to grow. 

As part of this mission. Navy Medicine 
is dedicating crucial assets and helping 
to plot the future course for the DoD and 
VAs inter-agency interoperable elec- 
tronic health record (EHR) effort. Navy 
clinical informatics is aligned with our 
sister Services in its vision and mission 
to deliver the promise of cost-effective, 
efficient, and reliable health care through 
collaborative efforts across the military 

In the future, we will be looking at sup- 
porting the Interagency Program Office 
with Navy Medicine's integrated elec- 
tronic health record (iEHR) requirements 
through early and continual clinical user 
involvement. We will be using the iEHR 
across the enterprise through continu- 
ous development, testing, and certifica- 
tion processes. We will also be looking at 
transforming the DoD's AHLTA electron- 
ic medical record (EMR) to a nation-wide 
Health Information Network to improve 
interoperability in federal, state, VA, and 
DoD EMR's. As we continue to focus on 
our three goals, the EMR will be a crucial 
piece in how we track patient data and 
increase value in the care we provide. 

The advancements we have seen in 
prosthetic development are astonishing. 
Once something imagined in science fic- 
tion, these advanced prosthetics now aid 
our wounded warriors in their everyday 
lives. Specifically, the Modular Prosthetic 
Limb (MPL) is a brain- controlled pros- 
thetic, which has nearly as much dexterity 
as a natural limb, 22 degrees of motion, 
and independent movement of fingers. 

Vice Adm. Matthew L. Nathan 
U.S. Navy Surgeon General 

The MPL was developed as part of a 
four-year program by the Johns Hopkins 
University Applied Physics Laboratory, 
along with Walter Reed National Military 
Medical Center and the Uniformed Ser- 
vices University of the Health Sciences. 
As we move forward, we will see more 
collaboration like this with our sister Ser- 
vices and civilian counterparts to create 
innovative techniques and technologies 
that are joint in nature. 

We have also seen much improvement 
in modehng and simulation over the 
past ten years. In particular, for TBI care, 
we are using the virtual environment to 
challenge the brain through specialized 
video games and other computer-based 
programs that provide visual, spatial, 
language and coordination tasks. Another 
cutting edge technology that has come to 
fruition includes advancements in hand, 
extremity, and even face transplantation 
for which simulation plays a key role. In 
education and training, we now have high 
technology and hyper-realistic training 
tools that can help Navy medical per- 
sonnel, from corpsmen to surgeons, in 
improving their cognitive, psychomotor, 
and affective capabilities to deliver world- 
class care to our war fighters and Navy 
and Marine Corps family. 

As we turn the corner on over a decade 
of war, innovative technology will be 
a pillar on our way forward. We have 
come light years since the early days of 
military medicine, but we will need new 
innovations and joint solutions to take us 
to where we need to be. I look to you to 
be the future of Navy Medicine and am 
proud to be your surgeon general. 

Bremerton gees the extra mile fer Great American Smoi(e Out 

By Douglas H Stutz, Naval Hospital 
Bremerton Public Affairs 

BREMERTON, Wash. - The Great Ameri- 
can Smoke Out 'Mileage to Freedom 
Challenge' highlighted Naval Hospital 
Bremerton's commitment to tobacco ces- 
sation for staff and beneficiaries on Nov. 

"The purpose and intent of holding 
this event is to have those who use to- 
bacco to at least consider quitting for the 
day," said Pat Graves, NHB Tobacco Ces- 
sation Facilitator. From just one day can 
come the empowerment to hopefully quit 
for a lifetime. Quitting is a process that is 
not always easy. It requires time, patience 
and a desire to change. We have the tools 
and experience to help you succeed." 

The 'Mileage to Freedom Challenge' 
was a concentrated team effort made up 
of NHB co-workers who convinced and 
nominated a tobacco user to quit for 
24-hours. Teams, with five maximum 
members, then gathered on NHB's Quar- 
terdeck to have each member compete 
on a stationary bike, elliptical machine or 
treadmill for an overall total of 10 min- 

Team No Chew, from NHB's Second 
Class Petty Officer Association took first 
place with 4.21 miles in the 10-minute 
time frame. Placing second was Team No 
Butts from NHB Pharmacy with a 3.24 
miles and taking third place was No In 
Halers from NHB Health Promotion with 
2.17 miles. 

Why the ten minutes? According to 
Graves, just 10 minutes of moderate 
intensity exercise can reduce the desire to 
smoke or dip. 

"It's about moving more and smoking 
less!" said Graves. Exercise can diminish 
nicotine withdrawal symptoms and help 
avoid relapse. Exercise can also reduce 


From page 1 

Photo by Douglas H Stutz 

Hospital Corpsman 1st class Lisa Hagman of Naval Hospital Bremerton Pharmacy 
Team No Butts' actively takes part in The Great American Smoke Out 'Mileage 
to Freedom Challenge' on Nov. 15 to highlight the notion that physical inactivity 
kills just as much as smoking can unless a tobacco user does something about it. 
Hagman is a former smoker and along with other pharmacy staff, signed up for 
the 'Mileage to Freedom Challenge' to compete against NHB co-worker teams on a 
stationary bike, elliptical machine or treadmill for an overall total of 10 minutes. 

the intensity of withdrawal symptoms." 

"This was a lot of fun and a great idea," 
said Master- at- Arms 2nd Class Marci 
Pollard, of the winning Team No Chew 
team. "We focused on the fitness aspect 
and having a healthy lifestyle, which helps 
with not smoking." 

For Graves, the Great American Smoke 
Out provides an annual strong reminder 
that anyone who uses any tobacco prod- 
uct can quit with a little help from Graves 
and other resources at NHB like Health 
Promotion department. 

"We want users to make a plan and 
commit to seeing it through. They can 
set themselves up to succeed with profes- 
sional support and support from family 
and friends. They need to remember why 

why quitting is important. They can write 
down the reason or reasons why they 
want to quit and then visually remind 
themselves why they are stopping the 
nicotine habit." 

Graves notes that tobacco usage can 
also compromise the mission of any 
service member. Quitting improves a 
person's night vision, mental activity; de- 
creases the need for water; increases lung 
capacity; decreases injuries and accidents; 
increases stamina; improves fine motor 
coordination and increases the ability to 
manage stress. 

NHB Tobacco Cessation has the 
resources to help anyone to quit and stay 
quit. For an appointment with Tobacco 
Cessation please call: 360- 475-4818. 


"This will be a place where futures are planned and 
launched," said Sloan Gibson, the President of the USO. 

Gibson said the facility would be designed to "the audible 
gasp standard," and noted that there was and would continue to 
be input from Wounded Warriors and their families throughout 
the design and construction process. 

Also speaking at the ceremony was Vice Admiral Mathew 
Nathan, the navy Surgeon General, who mentioned the historic 
roots of the USO and the location of the new center and how 
they connect to the present. 

"This is making good on a commitment in the 1940's by FDR 
who was out here visiting and said 'the second World War is 

they wanted to quit in the first place and 

coming to a close and thousands of veterans who will be healing 
and convalescing. I want them to heal and convalesce in an area 
where they can feel they've been reintegrated and part of the 
community again.' And here we are making good on that prom- 
ise, creating an environment where our Wounded Warriors and 
their families can find some normalcy again." 

In addition to the three zones, the 16,000 square foot facility, 
which will be open to all service members and their families, 
will have a welcome area staffed full time by volunteers who can 
assist visitors with activities and provide information on activi- 
ties going on both in the USO center and around the installa- 

The facility is scheduled to be complete in the spring of 2014. 
A similar sister facility will be opening soon at Ft. Belvior. 

November 2012 -MEDNEWS • 3 

Navy's top doc visits Naval Hospital Camp Pendleton 

By Naval Hospital Camp Pendleton 
Public Affairs 

LETON, Calif. - Vice Adm. Matthew 
Nathan, U.S. Navy Surgeon General and 
chief, U.S. Navy Bureau of Medicine and 
Surgery, toured Naval Hospital Camp 
Pendleton last month while visiting vari- 
ous commands on the west coast. 

While visiting, Nathan met with sailors 
and staff members and toured the hospi- 
tal's Physical Therapy and Family Medi- 
cine Departments. He also conducted 
two Admiral's Calls. 

During the Admiral's Calls, Nathan 
addressed his vision for Navy Medicine 
to include medical readiness, the value of 
U.S. Navy health care, and joint service 
opportunities. He discussed current 
military and Navy Medicine issues con- 
cerning staff members. 

"Never under estimate the capability 
you bring," said Nathan. "You are chang- 
ing people's lives." 

Nathan told the audience he was very 
proud of his Navy Medicine team. 

"When I go to these places, I talk to 
the Commandant of the Marine Corps 
and the Chief of Naval Operations and 
ask them if there is anything they want 
me to say to the troops," said Nathan. 
"Yes. Let them know how proud we are. 
Let them know how grateful we are. Let 
them know that the reason we keep com- 
ing to work every day is because we've got 

Plioto by Mass Communication Specialist 1st Class Michael R. McCormick 

Vice Adm. Matthew Nathan, U.S. Navy surgeon general and chief, Bureau of JVIedi- 
cine and Surgery, greets Ship's Serviceman 2nd Class Michael Childers upon arrival 
at Naval Hospital Camp Pendleton Oct. 18. Nathan toured the hospital while visiting 
various commands on the west coast. 

folks like you, who are doing the heavy 
lifting and doing the hard charging and 
living your lives by great example. I bring 
that from our military's leadership." 

The Surgeon General also had lunch 
with the civilians and Sailors of the year 
and quarter as well as their supervisors. 

"It seems like he really appreciates our 

work," said Hospital Corpsman 1st Class 
Angelo Catindig, the hospital's Senior 
Sailor of the Quarter assigned to the 21 
Area Branch Health Clinic. "He seems 
very engaged and concerned with every- 
thing that happens in our hospital. It was 
good to see him recognize us for all of 
our hard work." 

President proclaims November as Military Family Mentli 

From American Forces Press Service 

WASHINGTON - "In our military families, we see the best our 
country has to offer. They demonstrate the virtues that have 
made America great for more than two centuries and the values 
that will preserve our greatness for centuries to come," President 
Barack Obama said in his proclamation issued today declaring 
the month of November as Military Family Month. 

The proclamation reads: 

"Since our Nation's earliest days, courageous men and women 
of all backgrounds and beliefs have banded together to fight for 
the freedoms we cherish. Behind each of them stands a parent, 
a sibling, a child, a spouse -- proud family members who share 
the weight of deployment and make profound sacrifices on 
behalf of our country. During Military Family Month, we honor 
our military families and recommit to showing them the fullest 
care and respect of a grateful Nation. 

"In our military families, we see the best our country has to 
offer. They demonstrate the virtues that have made America 
great for more than two centuries and the values that will 
preserve our greatness for centuries to come. With loved ones 

4 • MEDNEWS • November 2012 

serving far from home, military spouses take on the work of 
two. Their children show courage and resilience as they move 
from base to base, school to school, home to home. And even 
through the strain of deployment, military families strengthen 

See Pendleton, Page 3 

Asian-American Admirai iionored for contributions to modicino 

By Joshua Wick, U.S. Navy Bureau of 
Medicine and Surgery Public Affairs 

SAN FRANCISCO - The Director of 
the U.S. Navy's Medical Corps received 
the Chinese Hospital Medical Staff 39th 
Annual Award during a ceremony in San 
Francisco, Oct. 26. 

The award recognizes achievements in 
medicine at a level of national or interna- 
tional significance, and either contribu- 
tions to the health of or inspiration to, 
the Asian American community. 

Rear Adm. Colin G. Chinn, director. 
Medical Resources Plans and Policy divi- 
sion. Office of the Chief of Naval Opera- 
tions, and the 10th chief of the Navy's 
Medical Corps, was selected for the 
honor by Chinese Hospital Medical staff 
for his body of work in Navy Medicine. 

"Rear Adm. Chinn was selected 
because his achievements reflect a long 
dedication to service and his work has in- 
fluence on an international scale," said Dr. 
Mai-Sie Chan, chair of the Continuing 
Medical Education Committee, Chinese 

Chinn is a native of San Francisco, a 
fourth generation Chinese-American, 
and one of the highest ranking Asian- 
Americans in the U.S. Navy. 

"This is a tremendous and unexpected 
honor to be selected for this award," said 
Chinn. "If you look back at their previous 
recipients there are Nobel laureate, lead- 
ers in medical academia, world renowned 
researchers and me, a naval officer and 

Chinn's interest and passion for medi- 
cine developed early on after seeing an 
open heart surgery during a sixth-grade 

Courtesy photo 

Rear Adm. Colin G. Chinn, director, U.S. 
Navy Medical Corps, was presented with 
the Chinese Hospital Medical Staff 39th 
Annual Award during a ceremony in San 
Francisco, Oct. 26. 

field trip to the University of Cahfornia, 
San Francisco Medical Center. 

With an interest in helping and care for 
people, and coming from a family with a 
history of naval service, made selecting 
the Navy's Health Professions Scholarship 
Program (HPSP) an easy decision for the 

"Through our proactive and reactive 
support and response during humanitar- 
ian assistance or natural disaster relief 
missions. Navy Medicine is America's and 
the world's 9-1-1 force," said Chinn. 

Chinn participated in the Navy's 

Global Health engagement efforts in his 
roles supporting Marine Forces Pacific 
and with Operation Tomodachi, the joint 
US.-Japan military relief effort following 
the earthquake in Japan. 

"The Chinese hospital helps to fos- 
ter recognition and awareness towards 
solving unique medical problems faced 
by the underserved population of San 
Francisco," said Chinn. "This very similar 
to what our Global Health engagement 
programs do around the world." 

Chinn will have the opportunity to 
discuss and showcase Navy Medicine's 
worldwide efforts and role in the Mari- 
time strategy, the capabilities in expedi- 
tionary care, research and development, 
humanitarian assistance/ disaster re- 
sponse missions and why the U.S. Navy is 
a global force for good. 

Chinn has served in various assign- 
ments throughout the Navy including 
positions at Naval Hospital Oakland; 
Naval Medical Center San Diego; Naval 
Hospital Corpus Christi, Texas; Naval 
Hospital Lemoore, Calf; and, as the 
commanding officer of Naval Hospital, 
Oak Harbor, Wash. He also served with 
the U.S. Marine Corps in the 3rd Marine 
Division, III Marine Expeditionary Force, 
U.S. Marine Corps Forces Pacific and as 
the Navy surgeon general specialty leader 
for Fleet Marine Forces. 

Chinn received his commission as an 
ensign in the Medical Service Corps in 
1981. He attended the Medical College 
of Virginia through the Armed Forces 
Health Professions Scholarship Program 
and earned a Doctor of Medicine degree 
in 1985. 


From page 4 

the fabric of each community they touch and enrich our nation- 
al Hfe as shining examples of patriotism. 

"We each have a solemn duty to serve our Armed Forces 
and their families as well as they serve us. Through First Lady 
Michelle Obama's and Dr. JiU Biden's Joining Forces initia- 
tive, we have worked to fulfill this obligation by mobilizing 
all Americans to give service members and their families the 
opportunities and support they have earned. Last year, we chal- 
lenged American businesses to hire or train 100,000 veterans 
and military spouses by the end of 2013. To date, they have 
already exceeded that challenge, hiring over 125,000 veterans 
and military spouses. From helping military children succeed in 
the classroom to increasing support for those who care for our 
wounded warriors. Joining Forces will keep fighting to ensure 
the well-being of our troops and their families. 

"When a young woman signs up to defend our Nation, her 

parents are enlisted as well. When a father deploys to a combat 
zone, his children are called to serve on the home front. And 
when the men and women of our military serve far from home, 
their families feel the strain of their absence. In that absence, 
let us stand together as one American family. Let us honor the 
brave patriots who keep our country safe, and let us forever 
hold close the memories of those who have perished in the line 
of duty. This month, we reaffirm that we will always Hft up our 
military families -- not just when their loved ones are away, but 
also long after the welcome home ceremonies are over. 

"NOW, THEREFORE, I, BARACK OBAMA, President of the 
United States of America, by virtue of the authority vested in me 
by the Constitution and the laws of the United States, do hereby 
proclaim November 2012 as Military Family Month. I call on all 
Americans to honor military families through private actions 
and public service for the tremendous contributions they make 
in support of our service members and our Nation." 

November 2012 -MEDNEWS • 5 

Navy Medicine meets witii top ieaders during Heusten Navy Weei( 

By Valerie A. Kremer, U.S. Navy 
Bureau of Medicine and Surgery 
Public Affairs 

HOUSTON - Navy Medicine leader- 
ship met with academic, scientific, civic, 
sports, and corporate leaders to discuss 
shared initiatives in patient care models, 
traumatic brain injury treatment, and 
Navy Medicines capabilities as part of 
Houston Navy Week, Oct. 23-24. 

Rear Adm. William Roberts, comman- 
dant. Medical Education and Training 
Campus, San Antonio, and deputy chief, 
education and training (M7), U.S. Navy 
Bureau of Medicine and Surgery, was the 
top medical officer representing Navy 
Medicine during the week. 

"Our Navy is proud to serve Ameri- 
cans and freedom seeking people world- 
wide," said Roberts. "Houston Navy Week 
provides and opportunity to show the 
American tax payers what their Navy 
does, how it cares for its men and women 
who wear the cloth of our nation and op- 
portunities for those who may be inter- 
ested in joining the Navy." 

Of the nearly 330,000 active duty Sail- 
ors across the Navy, nearly 40,000 come 
from Texas. An additional 5,000 Reserve 
Sailors also hail from the state, and more 
than 27,000 retired Navy veterans live in 
Texas, Roberts noted. 

During a visit to the Michael E. De- 
Bakey VA Medical Center, Roberts met 
with leadership and staff to discuss shared 
initiatives in pa- 

"Our Navy is proud 
to serve Americans 

Photo by Mass Conimiinicatioiis Specialist 1st Class Chris Laurent 

Rear Adm. William Roberts, commandant, Military Education Training Campus visits 
with the Houston Texans physical training staff. The visit was part of Houston Navy 
Week, one of 15 Navy Weeks planned across America this year. 

tient care models, 
traumatic brain 
injury treatment, 
advancements in 
pharmacy technol- 
ogy, the impor- 
tance of education 
and training, and 
electronic health 

"We are pleased to have Rear Adm. 
Roberts come to visit the Michael E. 
DeBakey VA Medical Center, said Adam 
Walmus, director, Michael E. DeBakey 
VA Medical Center. "It was wonderful to 
learn about Navy Medicine and discuss 

the similarities between the Medical 
Home Port and Patient Aligned Care 
Team (PACT) models and the impor- 
tance of the electronic health record. We 
are so thankful for the great work Navy 
Medicine is doing on a daily basis for our 
nation's heroes." 

During his presentation, Roberts 
highlighted Navy Medicine's vast capa- 
bilities in expeditionary care, garrison 

care, research and de- 
velopment, and its key 
role in the maritime 
strategy through hu- 
manitarian assistance/ 
disaster relief 
"Navy Medicine 
-Rear Adm. William Roberts is absolutely a global 
commandant force for good," said 
IVIedical Education and Training Campus Roberts. "The humani- 
tarian assistance/ disas- 
ter relief missions are truly life changing 
for all of those involved. We work closely 
with our sister services, non-governmen- 
tal organizations, and the ministries of 
health in each country to complete these 

and freedom seeking 
people world-wide." 

Other events during Houston Navy 
Week included a visit with The Institute 
for Rehabilitation and Research Memo- 
rial Hermann, Memorial Hermann- 
Texas Medical Center, Baylor College of 
Medicine, University of Texas at Houston 
Medical School, National Space Bio- 
medical Research Institute, the Houston 
Military Affairs Committee, Houston 
Texans medical staff, and the Helping A 
Hero gala. 

Navy Medicine is a global healthcare 
network of 63,000 Navy medical person- 
nel around the world who provide high 
quality health care to more than one 
million eligible beneficiaries. Navy Medi- 
cine personnel deploy with Sailors and 
Marines worldwide, providing critical 
mission support aboard ship, in the air, 
under the sea and on the battlefield. 

Houston Navy Week is one of 15 Navy 
weeks across the country this year. Navy 
Weeks are designed to show Americans 
the investment they make in their Navy 
and increase awareness in cities that do 
not have a significant Navy presence. 

Got News? 

If you'd like to submit an article or have an idea for one, 
contact MEDNEWS at 703-681-9032 or Valerie . Kreiner@ined . navy . mil 

6 -MEDNEWS -November 2012 

Healthier eating means 'death of the speed-line' at Portsmouth 

By Mass Communication Specialist 2nd Class Nikki Smith, 
Naval IVIedical Center Portsmouth Public Affairs 

PORTSMOUTH, Va. - Naval Medical Center Portsmouth's 
galley officially killed its speed-line Oct. 30 as part of a move 
toward healthier options. 

A Halloween-themed "Death of the Speed-Line" celebration 
Oct. 31 featured samples of the new, healthier options to be of- 
fered beginning Nov. 5. 

The new speed-line will feature foods that promote health 
and healthy eating for staff and the medical center's patients. 
The changes in the galley were spearheaded by Cmdr. Paul Al- 
len, department head of the Nutritional Management Depart- 
ment and registered dietician, who wanted to offer healthier 
food in the galley after reporting to NMCP in August. 

"This is for the overall health of our nation," Allen said. "We 
know from research that processed and refined foods, foods that 
are high in saturated fats, are things that cause disease. We don't 
want to [create] our own patients here at the hospital by using 
a high-fat speed-line. This hospital is a place for healing and a 
place for disease prevention. Our mission is to provide top- 
quality healthcare, and part of that is providing healthy food. 
My drive is the health of the nation, and our nation starts with 

Allen drew on his 20 years as a dietician and worked with the 
culinary specialists (CSs) and dieticians in the medical center to 
develop a healthful and delicious five-day menu. 

"We wanted to incorporate foods that we know facilitate bet- 
ter health like beans, seafood, olives and lots of vegetables," Al- 
len said. "I'm glad that I was able to give my culinary specialists 
an opportunity to be creative while helping everyone to become 

Photo by Mass Cojiuinuiication Speciali. 

During the "Death to the Speed Line" event in Naval Medical 
Center Portsmouth's galley, labels from the old menu items 
are displayed on R.I. P. headstones, with new menus items 
listed for galley patrons to see what they have to look for- 
ward to. 

healthier at the same time." 

The hospital staff said goodbye to nachos with processed 
nacho cheese sauce and hotdogs with French fries and onion 
rings, and said hello to a potato bar with white and sweet pota- 
toes, turkey burgers, an olive and Gyro bar, and pasta bar with 
whole wheat pasta and shrimp sauteed in olive oil. 

For the celebration, the speed-line was decked out with 
Halloween decorations, with the labels from each of the old 
menu items mounted on rest-in-peace headstones. One of the 

See Portsmouth, Page 8 

Pain Management Program enhances patient care 

By Navy Comprehensive Pain IVIanage- 
ment Program Strategic Support Team 

ARLINGTON, Va. - The Navy Com- 
prehensive Pain Management Program 
(NCPMP) integrated telemedicine servic- 
es into its portfolio of pain management 
capabilities last month. The NCPMP 
seeks to restore function and relieve pain 
for active duty service members, retirees 
and dependents with high-risk acute and 
chronic pain. 

The Tele- Pain initiative will enhance 
care through superior access to tiered in- 
tegrative pain services across the cHnical 
care spectrum. Collectively, these pro- 
grams aim to correct critical shortfalls in 
access to pain management best practices 
throughout Navy Medicine and align 
the pain medicine communities' efforts 
with the Navy Surgeon General's goals of 
ensuring readiness of our warfighters, and 
providing value while maintaining the 
highest standards of pain management 
for our force and their dependents. 

The foundation of the Tele- Pain initia- 
tive is a monthly video teleconference 
(VTC) combining continuing medical 

education and case presentations for 
interdiscipHnary teleconsultation. The 
Tele- Pain educational curriculum was 
designed in partnership with the Uni- 
versity of New Mexico and was initiated 
across Navy Medicine in April 2012. This 
monthly VTC allows providers and other 
medical staff an opportunity to discuss 
their pain cases with the Tele-Pain Team 
at Walter Reed National Military Medical 
Center, which includes pain management 
physicians, physical therapists, pharma- 
cists, and behaviorists. There are current- 
ly 28 Navy, Army and Air Force MTFs 
and clinics participating with East, West, 
Europe, and Asia Time zone offerings. 

"The lecture series has been helpful 
just to get more information out to our 
providers and other cHnical staff on a 
regular basis." said Dr. Karen Muchowski, 
a family medicine physician at Naval 
Hospital Camp Pendleton. "In primary 
care we deal with chronic pain frequently, 
so always nice to have more data, but in- 
terestingly enough, I am seeing non-pri- 
mary care providers showing up as well." 

Direct patient-to-pain specialist VTCs 
are a new and growing component of the 

Courtesy photo 

Clinical providers participate in monthly 
video and audio conference at Walter 
Reed National Military Medical Center 
where they discuss their pain cases with 
the Tele-Pain team. 

Tele-Pain initiative. Patients are sav- 
ing time on travel to receive continued 
services from pain specialists. 

"Here at Carlisle Barracks in Penn- 

See Program, Page 9 

November 2012 -MEDNEWS • 7 

Bremenon SARP program provides proventive caro to those in need 

By Douglas H Stutz, Naval Hospital Bremerton Public Affairs 

BREMERTON, Wash. - Naval Hospital Bremerton's Substance 
Abuse Rehabilitation Program (SARP) is following Navy Medi- 
cine's core vision of patient-centered health care by preserving 
health and maintaining readiness with a new Outpatient Pro- 
gram workshop than began on Oct. 29. 

According to Operations Specialist Senior Chief Nick Desoto, 
NHB SARP counselor, NHB's SARP is enhancing the focus on 
how service members and their dependents may use and abuse 
alcohol. The Outpatient Program services will offer assistance in 
making better, healthier choices for dealing with stressors other 
than alcohol to active duty, family and retirees who are primar- 
ily 18 years and older. 

"Our goal is to work with those who don't meet the crite- 
ria for higher level of care but will if they continue on in their 
current way of using alcohol. Our focus is to be preventive in 
the future, and currently acknowledge any abuse. We want to 
save families, save Sailors and catch them before they fall," said 
Desoto, adding that NHB SARP follows American Society of 
Addiction Medicine guidelines in providing various levels of 
treatment, care and continual care. 

SARP will combine rehabilitation and counsehng services, 
along with substance abuse prevention education. The two-week 
program with intensive workshops and one- on- one counseling 
is designed to support the military community with education 
and support to foster leadership and readiness. 

"This is really a pre- cautionary measure to avoid dependency 
and help our service-members be successful in dealing with 
alcohol," Desoto said. 

Desoto notes that the Outpatient Program will concentrate 
on binge drinking and other unsuitable or counterproductive 
behavior that may lead to alcohol dependence. "The ability to 
assess individuals before becoming dependence will help overall 
combat readiness by providing proper education and coping 
skills necessary to find other outlets besides alcohol and drug 
abuse," he said. 

The Outpatient Program curriculum will be lecture-focused 
augmented by individual counseling. The workshop is in a 
group therapeutic environment augmented with one-on-one 
counseling sessions. 

Topics range from stress management to the attitude and 

Photo by Doug Stutz 

Senior Chief Operations Specialist Nick Desoto, Naval Hospital 
Bremerton SARP counselor explains how the time-line teach- 
ing tool is used in the newly launched Outpatient Program to 
chronologically concentrate how alcohol has been impactful in 
personal growth in the past and how they can make healthier 
choices in the future without it. 

beliefs of alcohol. The program also integrates information on 
nutrition, physical readiness, hygiene, and includes referral 
agents for PTSD, Tobacco Cessation and mental health issues. 

"We know that not everyone who drinks has a drinking 
problem. The challenge of talking to a young Sailor or Marine 
about a possible drinking problem is that there are some 20-24 
year old college counterparts who binge drink, weekend party, 
and that behavior for the most part is accepted in our culture," 
explained Desoto. 

NHB's SARP has continued with the Navy's de-glamorization 
campaign on alcohol and the new Outpatient Program is hoped 
to continue with that process. 

"Focusing on abstinence and responsible use of alcohol are 
ways (we're doing this). Education is key to the arresting of the 
disease," said Desoto. 

The mission of NHB's SARP is to offer help and hope with 
counseling and rehabilitation programs to individuals and their 
family members affected by alcoholism. 


From page 7 

culinary specialists dressed as the Grim 

Reaper to "kill" the old menus. 

NMCP personnel were invited to the 
celebration and were offered samples of 
four of the new speed-line foods. The gal- 
ley's culinary specialists were excited to 
be debuting the new food and handed out 
samples of whole wheat pasta with white 
clam sauce, grilled tilapia, white crab chili 
and pumpkin soup. The samples received 
a lot of attention, with many people chat- 
ting about the new food while enjoying 
their dishes. 

"The new food is really good," said 

8 -MEDNEWS -November 2012 

Chelsea Goodsell, a dietetic intern in the 
Clinical Nutrition Department. "1 think it 
is really exciting that we are encouraging 
our Sailors to be healthy, and now we are 
providing the healthy options they need 
to do so." 

The planning and cooking of the new 
menu items are augmented by Allen's 
plan to give the culinary skills of the CSs 
a boost, including sending them to the 
Culinary Institute of Virginia in Norfolk, 
Va. Currently, two of NMCP's CSs are 
taking classes there. The goal is to provide 
not just healthy foods, but good-tasting 
healthy foods. 

The new direction of the galley's 
menus echoes the Navy and Marine 
Corps Public Health Center's "Live Well" 

campaign, which began in September. 
The initiative encourages being mentally 
and physically fit to contribute to the 
readiness of our forces, and eating smaller 
portions and healthier food helps forces 
become healthy, more productive and 
make meaningful contributions to their 

"There are messages we send as a na- 
tion and as a military, and our menus 
need to match those messages," said Al- 
len. "As a dietician, I'm telHng people to 
watch out for fried foods and burgers. 1 
don't want them to be able to come down 
to the galley and run and get the foods 
I'm telling them to stay away from. I'm 
not taking away choices; I'm introducing 
new, healthier choices." 

NMETC commander visits Navy's Expeditionary Medicine Training site 

From Navy Medicine Education and 
Training Command Public Affairs 

CAMP PENDLETON, Calif. - The com- 
mander of the Navy Medicine Educa- 
tion and Training Command (NMETC), 
visited the Naval Expeditionary Medicine 
Training Institute (NEMTI) Oct. 31 as 
part of a tour of Navy Medicine's West 
Coast training sites. 

NMETC Commander Capt. Gail Ha- 
thaway, along with NMETC Command 
Master Chief (SW/FMF/ AW) Rusty Perry 
and Navy Medicine Operational Training 
Center (NMOTC) Commanding Officer 
Capt. James Norton, toured NEMTI dur- 
ing their daylong visit. 

NEMTI is designed to provide expe- 
ditionary medical training in an opera- 
tional environment. 

Hathaway, an aviation physiologist, 
said her first visit to the Camp Pendleton 
facility as NMETC commander provided 
insight into how individuals train in 
preparation for a deployment. 

"Our [hospital] corpsmen, doctors, 
nurses and Medical Service Corps officers 
are among the finest and best-trained 
medical professionals in the world," said 
Hathaway. "Seeing the facility that pre- 
pares them to work as a team anywhere 
around the world, to maintain the readi- 
ness for which Navy Medicine is known, 
is something I feel is important." 

NEMTI, a component of NMOTC and 
NMETC, is located aboard Marine Corps 
Base Camp Pendleton, the major west 
coast base of the Marine Corps and offers 
several training programs, including pre- 
deployment training for service members 
deploying to Role II and Role III assign- 
ments in support of overseas contingency 

Hathaway said the facility is a shining 
example of how Navy Medicine main- 
tains unparalleled readiness in support of 
joint warfighters from all branches of the 


From page 7 

Capt. James Norton, commanding officer of Navy JVIedicine Operational Training 
Center (NIVIOTC), addresses nearly 100 independent duty corpsmen students dur- 
ing an open forum discussion at the Surface Warfare iviedical Institute (SWIVII), Oct. 
30. Norton visited SWIVII as part of a tour of the West Coast commands which fall 
under the NMOTC area of responsibility. 

U.S. Armed Forces. 

"Everyone training here is prepared 
to work with our sister service members 
from the Army and Air Force, provid- 
ing care to the Marine Corps and other 
military personnel from all services 
engaged in operations around the world," 
said Hathaway. "What they learn here 
directly impacts military readiness. It 
enables them to fold seamlessly into other 
organizations, setting the bar for medical 
operational training in the military." 

During the visit, Hathaway, Norton, 
Perry and NMOTC Command Master 
Chief (SW/ AW) Joe Coddington met 
with Naval Hospital Jacksonville Sailors 
participating in a two-week Expedi- 
tionary Medical Facility (EMF) Tiered 
Readiness Course, an effort designed to 

an EMF as well as provide medical, ad- 
ministrative and tactical topics required 
to meet EMF program requirements. 

Norton, who as NMOTC command- 
ing officer, oversees training requirements 
within the NMOTC area of operations 
and reports these to NMETC. He said 
the course they observed epitomizes the 
BUMED vision of providing a value - 
driven training effort to service members 
who will ultimately play an integral role 
at medical facilities around the world. 

"NEMTI training is a unique experi- 
ence for our medical professionals," said 
Norton. "Here they are able to train as 
they fight, to prepare for any eventual- 
ity they might face in an expeditionary 
medical environment. They are preparing 
for what Navy Medicine does best 


sylvania, the Tele- Pain clinic has increased access to care," said 
Maj. (Ret.) Paul Ciechoski. "Patients needing pain management 
services typically wait 2 to 3 months to be seen in Army Medi- 
cine's traditional network. The wait for Tele -Pain is only one to 
two weeks." 

Nurse manager Karen Williams at Naval Hospital Camp 
Lejeune believes that Tele-Pain providers have improved access 
to care issues when deployment reduced the hospital to only one 
pain provider, down from three. 

"Patients have been very happy with the care provided 
through VTC," said Williams. "I haven't heard any complaints 
from patients that they are not seeing the specialist face-to-face." 

instruct the assembly and disassembly of 

The NCPMP is focusing on supporting the Tele-Pain initia- 
tive expansion to remote areas where pain management special- 
ists are non-existent or unavailable due to deployment. 

Additional Tele -Pain offerings include a pain advice line for 
providers and other medical staff to receive real-time feedback 
on pain patients and a provider-to-pain management specialist 
VTC capability. The Tele-Pain initiative is providing support to 
the Army e-consult program for deployed providers as well. Tri- 
service partnerships developed through the NCPMP will help 
the Tele-Pain initiative continue to expand offerings and ser- 
vices with military treatment facilities worldwide. The initiative 
will bring specialty care to even more service men and women 
and their dependents. 

November 20 12 -MEDNEWS -9 

Navy Medicine Researcli 

Navy researcher receives Gates Foundation grant 

From Naval Medical Research Center 
Public Affairs 

SILVER SPRING, Md. - The Naval Medi- 
cal Research Center (NMRC) announced 
one of its researchers was awarded a ma- 
jor grant from the Bill and Melinda Gates 
foundation, Nov. 5. 

Lt. Robert Gerbasi received a $100,000 
grant with a potential follow- on grant 
of up to $1 million for his project that 
focuses on targeting the liver stage of ma- 
laria as a major component for a possible 
vaccine for deployed warfighters. 

"A military conflict or humanitarian 
crisis can arise in a malaria endemic area 
of the world at any time," said Gerbasi. 
"If our warfighters are not protected from 
malaria they will be out of the fight pretty 
fast. We want to fight our adversary, not 
malaria and our adversary. I hope that 
over the long-term this research identi- 
fies a new class of vaccine targets that can 
be used to protect service members and 
people who live in malaria endemic areas 
of the world." 

The U.S. Military Malaria Vaccine 
Program (USMMVP) has aggressively 
pursued vaccine approaches to protect 
the warfighter from malaria. The Navy 
side of the USMMVP focuses on develop- 
ing a vaccine that employs cell-mediated 
immunity by manipulating a specific cell 
type, the CD8T cell, to find and kill liver 
stage parasites. 

Infected mosquitoes inject malaria 
parasites when they bite an individual. 
The parasites travel to the liver, invade 
liver cells, multiple, develop into thou- 
sands of parasites which burst out of the 
liver cells and into the blood stream and 
infect red blood cells. During the liver 
stage, malaria presents pieces of itself, in 
the form of short peptides, on the surface 
of the liver cells. 

"Our goal is to identify small pieces of 
malaria peptides," said Gerbasi. "Those 
peptides would serve as excellent vac- 
cine candidates to train an individual's 
immune system to recognize and kill 
infected liver cells." 

During the first six months of the 

Courtesy photo 

Lt. Robert Gerbasi was awarded a $100,000 grant from the Bill and ivielinda Gates 
foundation, Nov. 5, for his malaria vaccine research. 

project, Gerbasi and his team will work to 
identify thousands of peptides on the sur- 
face of infected liver cells. In the second 
phase of the project, they will identify 
the peptides that are immunogenic. In 
the final phase, Gerbasi will prepared the 
findings for presentation and publication. 

"If things go well with the first Grand 
Challenges project I will be placed on 
a short list of investigators eligible for a 
second Grand Challenges award worth 
$1 million," said Gerbasi. "I was pretty 
excited to have this proposal selected. The 
NMRC research program has an out- 
standing team of entomologists, micro- 
biologists, biochemists and molecular 
biologists all working toward the goal of 
a vaccine, I am proud to be a member of 
the team." 

The primary objective of the Navy 
malaria program is to develop a vaccine 
that kills the parasite during its first few 
days of development in the liver, before it 

breaks out into the blood. If this approach 
is successful, it will prevent the clinical 
manifestation of malaria, which occurs 
only in conjunction with blood stage in- 
fection and not with the liver stage. Such 
a vaccine would benefit deployed military 
personnel as well as travelers and other 
populations. At the same time, the pro- 
gram is investigating vaccines that would 
target blood stage infection to limit the 
severity of symptoms associated with this 
stage. Both liver and blood stage vaccines, 
if deployed in endemic areas, could alle- 
viate much of the suffering caused by this 
parasite in tropical countries. 

NMRC is a global biomedical research 
enterprise that conducts basic and ap- 
plied research in infectious diseases, 
biological defense, combat casualty care, 
military operational and expeditionary 
medicine, bone marrow injury, and div- 
ing and environment medicine. 

View more Navy Medicine photos online at: 
www.flicl< pliotos/ navymedicine/ 

10 -MEDNEWS -November 2012 

Voices from the Field 

Diverse backgrounds yet a common goal in trauma team 

By Cmdr. Mark Lenert and Lt. Cmdr. 
Ian Valerio, Role 3 Multinational 
Medical Unit, Kandahar, Afghanistan 

The pager goes off. It is a Trauma "A" 
alert, "lED blast casualty with multiple 
wounds"... another reminder of being 
in a warzone, and part of the daily life 
of the medical care team at the Role 3 
Multinational Medical Unit in Kandahar, 

The staff wonder if it is a U.S. or coali- 
tion member? An Afghan National Army 
or policemember? An Afghan local? 
What are the injuries? 

The medical team, composed of 
an anesthesiologist, emergency room 
physician, a general surgeon, a trauma 
surgeon, two nurses, and two corpsmen, 
rushes to the ER to prepare and receive 
the casualty. Other medical personnel 
stand behind the "red line," immediately 
available if their skills or assistance are 

The patient has been medevac'd to 
the flight line, was quickly transferred 
by ambulance from the airfield to the 
ambulance bay, and then moved from 
the rickshaw to the trauma bay bed for 
evaluation. Then, a rapid and thorough 
evaluation of immediate life-threatening 
injuries occurs. This is a Trauma "A" pa- 
tient, a coalition service member suffer- 
ing an improvised explosive device blast 
with bilateral lower extremity trauma 
including soft tissue and bony injuries. . . 
the field tourniquets are in place and 
functional. The left arm has devastating 
soft tissue and bony wounds with active 

A corpsman quickly reinforces and 
secures the arm tourniquet, effectively 
controlling the bleeding. The ER physi- 
cian orders that pain medicine be given 
intravenously, as the orthopedic surgeons' 
assess the patient for possible surgery. 

Simultaneously, a nurse records the 
patient's vital signs. A general surgeon 
shouts "right subclavian cordis central 
line in. Start the Belmont Rapid Infuser." 

Other members of the team draw 
blood for laboratory tests and for type 
and cross matching of blood. The radi- 
ologist quickly performs an abdominal 
ultrasound. "FAST negative," he shouts. 

Pholo in' Ltl 

The trauma team at Role 3 Multinational Medical Unit in Kandahar, Afghanistan per- 
forms life-saving work on a patient. 

The X-ray technician soon acquires 
films of the chest, abdomen, legs, and left 
arm. In rapid succession the patient is 
then sedated, intubated, and made ready 
for immediate transfer to the CT scan 
prior to transitioning to the operating 
room. Multiple bowel injuries are noted 
on the scan. 

After CT scan and rapid evaluation by 
the complete trauma team, the patient 
is taken to the OR, where up to eight 
multidisciplinary staff surgeons await. 
The neurosurgeon and the Oral Maxillo 
Facial (OMFS) surgeon work together on 
the scalp injuries. Two general surgeons 
perform an exploratory laparotomy to 
investigate the bowel injuries noted on 
CT. Because of the blast injuries to the 
extremities, five orthopedic surgeons and 
a plastic surgeon work on each of the 
patient's limb injuries. The resuscitation 
associated with such massive injuries 
requires two anesthesiologists, an anes- 
thetic nurse, and an ICU nurse dedicated 
to operation of the Belmont rapid infuser. 
All of these specialists work fluidly and 
simultaneously to ensure the best care for 
the patient. Attention to detail in address- 
ing all the wounded warrior's injuries and 
stabilizing the patient is of utmost con- 

cern. This initial point of care is the start 
of the patient's road to recovery, and may 
be the most important in the survival for 
this combat casualty patient. 

The above scenario highlights the pro- 
fessionals involved in the Role 3 Multina- 
tional Medical Unit in Kandahar, Afghan- 
istan, currently being overseen by the U.S. 
Navy Medical Corps. The various actors 
and actresses in this drama hail from at 
least three different NATO nations, and 
represent the Army, Navy, and Air Force. 
Among the U.S. personnel alone, at least 
seven different hospitals are represented. 
Each of the staff work simultaneously to 
save this soldier's life, and to ensure his 
highest quality of life following recovery. 

The operating room time is not pro- 
longed, however. Most casualties are in 
and out of the OR in less than two hours. 
Subsequently, they recover in the Inten- 
sive Care Unit, where they await the Air 
Force's CCATT (Critical Care Air Trans- 
port Team) personnel to transport them 
to Bagram and then on to Landstuhl for 
further definitive care. Ultimately, this 
patient will be flown to the U.S. to a Level 
V facility so that further surgery can be 
performed, when needed, and recovery 
and family reunion can occur. 

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